Provider Demographics
NPI:1154971901
Name:HUGHES, JENNIFER ACEE (LCSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:ACEE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 TOGGLETOWN RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NY
Mailing Address - Zip Code:13323-1531
Mailing Address - Country:US
Mailing Address - Phone:315-725-0810
Mailing Address - Fax:
Practice Address - Street 1:9479 MAYNARD DR
Practice Address - Street 2:
Practice Address - City:MARCY
Practice Address - State:NY
Practice Address - Zip Code:13403-2231
Practice Address - Country:US
Practice Address - Phone:315-266-3420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0883341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical